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PART II <br />(For projects of $150,000 or more — IC 36-1-12-4) <br />These statements to be submitted under oath by each bidder with and as a part of his bid. (Attach <br />additional pages for each section as needed.) <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1. What public works projects has your organization completed for the period of one (1) <br />year prior to the date of the current bid? <br />Contract Amount <br />Class of Work <br />Completion <br />Naive and Address of Owner <br />0n p <br />G 2� yy <br />Date <br />t oQ a a <br />�� <br />v �nT� <br />` 0 00 A <br />2. What public works projects are now in process of construction by your organization? <br />Contract Amount <br />Class of Work <br />Completion <br />Date <br />Name and Address of Owner <br />{' <br />3. Have you ever failed to complete any work awarded to you? AO_If so, where and <br />why? <br />4. List references from private firms for which you have performed work. <br />.,» GP1c�JlILEt • //'/ r�.arll% a NO.�i%l, <br />TSC 217120 Bid Form Section 00 3100-5 <br />